A Unique Case of Heterotopic Pregnancy

  • Saba Khilji Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad, Pakistan
  • Wajeeha Anum Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad, Pakistan
  • Mehwish Tabassum Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad, Pakistan
  • Aleena Tahir Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad, Pakistan
  • Manal Niazi Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad, Pakistan
  • Naeemah FMDC
Keywords: Key words: Heterotopic pregnancy, ectopic pregnancy, transvaginal ultrasound, laparotomy.

Abstract

Heterotopic pregnancy, characterized by simultaneous intrauterine and extrauterine pregnancies, is a rare but potentially life-threatening condition. Its incidence has increased, attributed to factors such as pelvic inflammatory disease and assisted reproductive technologies. We present a case of spontaneous heterotopic pregnancy in a 28-year-old woman with lower abdominal pain. Initial examination revealed a ruptured left tubal ectopic pregnancy alongside a live intrauterine pregnancy. Prompt diagnosis via transvaginal ultrasonography led to emergency laparotomy, confirming sonographic findings. The ruptured ectopic pregnancy was successfully removed, preserving intrauterine gestation. Follow-up ultrasounds demonstrated a progressing intrauterine pregnancy. This case underscores the diagnostic challenges and emphasizes the importance of early recognition and intervention in heterotopic pregnancies, especially in the absence of predisposing risk factors. Increased awareness, thorough pelvic examination, and close follow-up are crucial for optimal outcomes in both pregnancies.

Published
2024-01-17
Section
Case Reports